scholarly journals AB011. 216. Da Vinci Xi robotic partial nephrectomy for complex renal mass

2019 ◽  
Vol 3 ◽  
pp. AB011-AB011
Author(s):  
Stefanie Croghan ◽  
Jody Khan ◽  
Nauman Nabi ◽  
Silvu David ◽  
Cris Albu ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Renal Mass ◽  
Da Vinci ◽  
Robotic Partial Nephrectomy ◽  
Da Vinci Xi

scholarly journals Early Single-Center Experience with Robotic Partial Nephrectomy Using the da Vinci Xi: Comparative Assessment with Conventional Open Partial Nephrectomy

2019 ◽  
Vol 13 (1) ◽  
pp. 13-18 ◽  
Author(s):  
Daisuke Motoyama ◽  
Ryota Aki ◽  
Yuto Matsushita ◽  
Keita Tamura ◽  
Toshiki Ito ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Da Vinci ◽  
Operative Procedure ◽  
Surgical Margin ◽  
Perioperative Outcomes ◽  
Robotic Partial Nephrectomy ◽  
Da Vinci Xi ◽  
Ischemic Time ◽  
Open Partial Nephrectomy ◽  
Estimated Blood Loss

Background: The objective of this study was to evaluate our experience with robot-assisted partial nephrectomy (RAPN) in comparison with conventional open partial nephrectomy (OPN). Patients and Methods: This study included 37 and 50 patients undergoing OPN and RAPN for small renal masses, respectively. A single surgeon performed RAPN for all 50 cases using the da Vinci Xi. Trifecta was defined as satisfying all of the following 3 criteria: ischemic time of ≤ 25 minutes, negative surgical margin and no major postoperative complications. Results: After adjusting patient variables by 1:1 propensity-score matching, 37 patients were included in each group, and no significant differences in major clinicopathological characteristics were noted between these 2 groups. RAPN was significantly superior to OPN with respect to operative time, estimated blood loss and postoperative length of hospital stay. The rate of trifecta achievement was significantly higher in the RAPN group than in the OPN group (91.9 vs. 62.2%). Furthermore, the operative procedure and R.E.N.A.L. nephrometry score were found to be independently associated with trifecta outcome by multivariate analysis of the entire cohort. Conclusions: Although this is our early experience with 50 initial cases, RAPN using the da Vinci Xi resulted in more favorable perioperative outcomes than OPN.

scholarly journals Robotic Partial Nephrectomy with the Da Vinci Xi

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
George J. S. Kallingal ◽  
Sanjaya Swain ◽  
Fadi Darwiche ◽  
Sanoj Punnen ◽  
Murugesan Manoharan ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Da Vinci ◽  
Intraoperative Complications ◽  
Perioperative Outcomes ◽  
Robotic Partial Nephrectomy ◽  
Da Vinci Xi ◽  
Port Placement ◽  
Renal Masses ◽  
Estimated Blood Loss ◽  
Surgical Platform

Purpose.The surgical expertise to perform robotic partial nephrectomy is heavily dependent on technology. The Da Vinci Xi (XI) is the latest robotic surgical platform with significant advancements compared to its predecessor. We describe our operative technique and experience with the XI system for robotic partial nephrectomy (RPN).Materials and Methods.Patients with clinical T1 renal masses were offered RPN with the XI. We used laser targeting, autopositioning, and a novel “in-line” port placement to perform RPN.Results.15 patients underwent RPN with the XI. There were no intraoperative complications and no operative conversions. Mean console time was 101.3 minutes (range 44–176 minutes). Mean ischemia time was 17.5 minutes and estimated blood loss was 120 mLs. 12 of 15 patients had renal cell carcinoma. Two patients had oncocytoma and one had benign cystic disease. All patients had negative surgical margins and pathologic T1 disease. Two postoperative complications were encountered, including one patient who developed a pseudoaneurysm and one readmitted for presumed urinary tract infection.Conclusions.RPN with the XI system can be safely performed. Combining our surgical technique with the technological advancements on the XI offers patients acceptable pathologic and perioperative outcomes.

Da Vinci-Assisted Robotic Partial Nephrectomy: Technique and Results at a Mean of 15 Months of Follow-Up

2007 ◽  
Vol 51 (1) ◽  
pp. 186-192 ◽  
Author(s):  
Sanjeev Kaul ◽  
Rajesh Laungani ◽  
Richard Sarle ◽  
Hans Stricker ◽  
James Peabody ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Da Vinci ◽  
Robotic Partial Nephrectomy

Robotic Partial Nephrectomy Versus Laparoscopic Cryoablation for the Small Renal Mass

2012 ◽  
Vol 61 (5) ◽  
pp. 899-904 ◽  
Author(s):  
Julien Guillotreau ◽  
Georges-Pascal Haber ◽  
Riccardo Autorino ◽  
Ranko Miocinovic ◽  
Shahab Hillyer ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Renal Mass ◽  
Robotic Partial Nephrectomy ◽  
Small Renal Mass

scholarly journals Renal Cell Carcinoma Metastasis from Biopsy Associated Hematoma Disruption during Robotic Partial Nephrectomy

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Christopher Caputo ◽  
Ziho Lee ◽  
Andrew Harbin ◽  
Daniel Eun
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Renal Biopsy ◽  
Partial Nephrectomy ◽  
Renal Cell ◽  
Renal Mass ◽  
Preoperative Imaging ◽  
Robotic Partial Nephrectomy ◽  
History Of ◽  
Perinephric Hematoma

We describe a case in which a patient with a past medical history of ovarian cancer received a diagnostic renal biopsy for an incidentally discovered renal mass. During left robotic partial nephrectomy (RPN), a perinephric hematoma was encountered. The hematoma was not present on preoperative imaging and was likely a result of the renal biopsy. The renal cell carcinoma (RCC) and the associated hematoma were widely excised with negative surgical margins. On follow-up imaging at five months postoperatively, a recurrent renal mass at the surgical resection bed and several new nodules in the omentum were detected. During completion left robotic total nephrectomy and omental excision, intraoperative frozen sections confirmed metastatic RCC. We believe that a hematoma seeded with RCC formed as a result of the renal biopsy, and subsequent disruption of the hematoma during RPN caused contamination of RCC into the surrounding structures.

scholarly journals Collecting Duct Renal Cell Carcinoma Found to Involve the Collecting System During Partial Nephrectomy: A Case Report

2015 ◽  
Vol 2 (3) ◽  
pp. 134-139 ◽  
Author(s):  
Andrew C Harbin ◽  
Brett A Styskel ◽  
Viren Patel ◽  
He Wang ◽  
Daniel D Eun
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Partial Nephrectomy ◽  
Renal Cell ◽  
Renal Mass ◽  
Collecting Duct ◽  
Robotic Partial Nephrectomy ◽  
Small Renal Mass ◽  
Aggressive Form ◽  
Collecting System

Collecting duct carcinoma (CDC) is a rare and aggressive form of renal cell carcinoma (RCC) arising from the principal cells of the collecting duct.  One third of cases present with metastatic disease, but many present in a manner similar to conventional RCC or urothelial carcinoma (UC).  We discuss a case of CDC which presented as a small mass at the cortico-medullary junction, and was discovered at robotic partial nephrectomy (RPN) to be grossly involving the collecting system. A 62-year-old man presented with a small renal mass suspicious for RCC, which was found on computed tomography (CT) after an episode of gross hematuria.  After thorough workup, RPN was attempted; however, intraoperatively the mass was found to be involving the collecting system.  Radical nephroureterectomy was performed, and the pathology report revealed CDC.  CDC is a rare and aggressive form of RCC.  While many cases are metastatic at diagnosis, most patients present with the incidental finding of a small renal mass.  There are no reports of a CDC involving the collecting system at RPN after negative ureteroscopy preoperatively.  The adjuvant therapeutic options for CDC are limited, and long term survival is poor.    

V7-03 ROBOTIC PARTIAL NEPHRECTOMY WITH SELECTIVE CLAMPING FOR RENAL MASS IN <15KG PEDIATRIC PATIENT: TECHNIQUES ADAPTED FROM ADULT UROLOGY

2017 ◽  
Vol 197 (4S) ◽  
Author(s):  
Patricia S. Cho ◽  
Michael V. Hollis ◽  
Briony K. Varda ◽  
Erin R. McNamara ◽  
Richard N. Yu ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Pediatric Patient ◽  
Renal Mass ◽  
Robotic Partial Nephrectomy
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